NPI 1316415359 · live from the CMS NPI Registry
Acacia Psychological Corporation
Psychologist in La Jolla, CA. National Provider Identifier 1316415359, active.
NPI record
| NPI | 1316415359 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 8950 Villa La Jolla Dr Ste C121, La Jolla, CA 92037 |
| Practice phone | 888-699-4873 |
| Mailing address | 281 Magnolia Ave Ste 300, Goleta, CA 93117 |
| Enumerated | November 7, 2018 |
| Last updated | December 7, 2018 |
| Authorized official | Jess Rodriguez, Director Of Business Services |
| Other names | Acacia Counseling & Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.